Senior Medical Documentation Auditor & Compliance Trainer

UNLV Medicine; Las Vegas (NV); Presencial; USD 66.000 - 78.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Hybrid work model

Medical, Dental, and Vision benefits

Paid holidays

PTO days

401K plan

Descripción de la vacante

UNLV Health seeks a Senior Medical Documentation Auditor to support the Compliance Program. You will design and execute audits of medical records, educate clinicians on documentation, and develop audit reports to mitigate liability.

The role requires strong knowledge of ICD-10, CPT, HCPCS, HIPAA, and CMS rules; travel between local facilities; hybrid work model; CPMA and related certifications are expected.

Formación

• Minimum of five (5) years of experience in healthcare compliance, medical coding, and/or related field; or eight (8) years in lieu of a Bachelor's degree.
• CPMA certification is required; relevant certifications preferred.
• Hybrid work arrangement; travel between local facilities as needed.

Responsabilidades

• Plan, develop and execute reviews to evaluate medical records for compliance with documentation, coverage, coding and billing guidelines.
• Educate physicians and clinical staff on documentation, coverage, coding and billing guidelines.
• Prepare detailed audit reports with findings, deficiencies, and recommendations for improvements.
• Ensure correct application of ICD-10, CPT, and HCPCS codes for diagnoses and services.
• Develop corrective actions and educate staff to improve documentation.

Conocimientos

Medical Records audits

HIPAA compliance

CMS regulations

Communication of audit findings

Training clinicians

Analytical skills

Travel between facilities

Educación

CPMA certification

Certified Professional Coder (AAPC/AHIMA)

Certified in Healthcare Compliance (CHC)

Bachelor's degree preferred

High School Diploma or GED

Herramientas

Microsoft Office

Descripción del empleo

UNLV Health seeks a Senior Medical Documentation Auditor to support the Compliance Program. You will design and execute audits of medical records, educate clinicians on documentation, and develop audit reports to mitigate liability.

The role requires strong knowledge of ICD-10, CPT, HCPCS, HIPAA, and CMS rules; travel between local facilities; hybrid work model; CPMA and related certifications are expected.